Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HATO REY MEDICAL GASTRO,CSP

NPI: 1316942956 · SAN JUAN, PR 00917 · Gastroenterology Physician · NPI assigned 06/20/2005

$46K
Total Medicaid Paid
780
Total Claims
768
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJIMENEZ, JOSE (PRESIDENT)
NPI Enumeration Date06/20/2005

Related Entities

Other providers sharing the same authorized official: JIMENEZ, JOSE

ProviderCityStateTotal Paid
CLINICA OFTALMICA QUADRANGLE PSC CAGUAS PR $158K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $4K
2019 15 $286.00
2020 126 $9K
2021 77 $4K
2022 119 $6K
2023 343 $20K
2024 57 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 251 248 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 156 156 $13K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 185 180 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $7K
99070 118 114 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 30 $722.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $286.00